Active NPI
Kathleen Elizabeth Severeid, DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Tacoma, WA
National Provider Identifier
1063601375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- PT00010618
- Practice address
- 209 M L King Jr Way
TSC-Tacoma Medical Center
Tacoma, WA 98405-4265 - Phone
- (253) 569-3300
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT00010618 | WA | Primary |
Addresses
Primary practice location
209 M L King Jr Way
TSC-Tacoma Medical Center
Tacoma, WA 98405-4265
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Other names 1
- Katie Elizabeth Severeid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
118 N Everest St
Newberg, OR 97132-2102
Phone (503) 538-8952
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chehalem Physical Therapy, Inc. | Current | Accepting new patients |
Locations
118 N Everest St
Newberg, OR 97132
Phone (503) 538-8952
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Newberg, OR
- NPI 1164497111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1063601375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34584",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241584",
"telephone_number": "509-241-7349",
"fax_number": "509-241-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 M L KING JR WAY",
"address_2": "TSC-TACOMA MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-569-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVEREID",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "WA",
"license": "PT00010618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "SEVEREID",
"middle_name": "ELIZABETH",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.